Northern Arizona Radiation Oncology

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

NORTHERN ARIZONA RADIATION ONCOLOGY

Practice address

1200 N. Beaver Street
Cancer Center of Northern Arizona
Flagstaff, AZ 86001

Phone

(928) 773-2261

NPI assigned

Nov 10, 2005

Last updated

Aug 23, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew K David, M.D.

Title

President

Phone

(928) 204-4160

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Skyler K. Lindsley, M.D.

  • Radiation Oncology Physician
  • Edmonds, WA
  • NPI 1396746657
  NPD (past)
• Pamela J Vanderwall, MD

  • Radiation Oncology Physician
  • Green Bay, WI
  • NPI 1225075609
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1336120963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749560",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900749560",
            "telephone_number": "770-693-2622",
            "fax_number": "770-693-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N. BEAVER STREET",
            "address_2": "CANCER CENTER OF NORTHERN ARIZONA",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86001",
            "telephone_number": "928-773-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-204-4160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010949804",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109498",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC8937",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northern Arizona Orthodontics
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• Northern Arizona Pediatric Intensive Care Specialists
• Northern Arizona Podiatry Group
• Northern Arizona Pulmonary Associates, LLC
• Northern Arizona Radiology P C
• Northern Arizona Senior Living Community, L.L.C. (The Peaks Health & Rehabilitation)
• Northern Arizona Speech-Language Service Providers, PLLC (Northern Arizona Speech/Language Service Providers)
• Northern Arizona Spinal Care, PLLC
• Northern Arizona Substance Abuse Services

• Radiation Oncology Physician in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Radiation Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.